Question 25
A 45-year-old woman presents with fever, chills, and muscle aches after a recent visit to rural India. Malaria was diagnosed by blood smear, which shows Plasmodium falciparum infection with a parasitemia level of 4%. She complains of abdominal pain, nausea, and mild confusion. Her vital signs are temperature 39.5°C, pulse 120 bpm, blood pressure 90/60 mmHg, and oxygen saturation 93% on room air. What is the most appropriate initial management?